ArticleMedical decision making : an international journal of the Society for Medical Decision Making2015
Economic Evaluation of Pediatric Telemedicine Consultations to Rural Emergency Departments.
Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Cost-Effectiveness of Virtual Emergency Care Models: Systematic Review.JMIR mHealth and uHealth · 2026Pooled it
- Economic Evaluations of Digital Health Interventions for Children and Adolescents: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Effectiveness of Telehealth in Rural and Remote Emergency Departments: Systematic Review.Journal of medical Internet research · 2021Pooled it
- A Systematic Review of the Economic Evaluation of Telemedicine in Japan.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2016Pooled it
- Coordinating care across hospitals: how integration shapes patient mobility.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Economic evaluation of tele-resuscitation intervention on emergency department pediatric visits in the Niagara Region, Canada a pilot study.Frontiers in health services · 2023Article
- Pandemic Action Plan Policy and Regulatory Summary Telehealth Policy and Regulatory Considerations During a Pandemic.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Transfers of pediatric patients with isolated injuries to a rural Level 1 Orthopedic Trauma Center in the United States: are they all necessary?Archives of orthopaedic and trauma surgery · 2022Article
- Triage through telemedicine in paediatric emergency care-Results of a concordance study.PloS one · 2022Article
- Increased Revenue From Averted Missed Appointments Following Telemedicine Adoption at a Large Federally Qualified Health Center.Health services insights · 2022Article
- Telehealth in emergency medicine: A consensus conference to map the intersection of telehealth and emergency medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Interest in Improving Access to Pediatric Trauma Care Through Telemedicine.Journal of medical systems · 2021Article
- Travel Avoidance Using Telepediatric by Patients and Healthcare Providers: a Review of the Literature.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2020Review
- Virtually possible: using telehealth to bring reproductive health care to women with opioid use disorder in rural Maine.mHealth · 2020Article
- Trauma transfers to the pediatric emergency department - Is it necessary?Turkish journal of emergency medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundComprehensive economic evaluations have not been conducted on telemedicine consultations to children in rural emergency departments (EDs).
objectiveWe conducted an economic evaluation to estimate the cost, effectiveness, and return on investment (ROI) of telemedicine consultations provided to health care providers of acutely ill and injured children in rural EDs compared with telephone consultations from a health care payer prospective.
methodsWe built a decision model with parameters from primary programmatic data, national data, and the literature. We performed a base-case cost-effectiveness analysis (CEA), a probabilistic CEA with Monte Carlo simulation, and ROI estimation when CEA suggested cost-saving. The CEA was based on program effectiveness, derived from transfer decisions following telemedicine and telephone consultations.
resultsThe average cost for a telemedicine consultation was $3641 per child/ED/year in 2013 US dollars. Telemedicine consultations resulted in 31% fewer patient transfers compared with telephone consultations and a cost reduction of $4662 per child/ED/year. Our probabilistic CEA demonstrated telemedicine consultations were less costly than telephone consultations in 57% of simulation iterations. The ROI was calculated to be 1.28 ($4662/$3641) from the base-case analysis and estimated to be 1.96 from the probabilistic analysis, suggesting a $1.96 return for each dollar invested in telemedicine. Treating 10 acutely ill and injured children at each rural ED with telemedicine resulted in an annual cost-savings of $46,620 per ED. LIMITATIONS: Telephone and telemedicine consultations were not randomly assigned, potentially resulting in biased results.
conclusionsFrom a health care payer perspective, telemedicine consultations to health care providers of acutely ill and injured children presenting to rural EDs are cost-saving (base-case and more than half of Monte Carlo simulation iterations) or cost-effective compared with telephone consultations.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.